Active NPI
Dana Shimabukuro, PHARMD
- Pharmacist
- Kamuela, HI
National Provider Identifier
1861943417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH4239
- Practice address
- 67-1125 Mamalahoa Hwy
Kamuela, HI 96743-8496 - Phone
- (808) 881-4464
- NPI assigned
- Oct 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0015663 | OR | |
| Pharmacist | 183500000X | PH60673057 | WA | |
| Pharmacist | 183500000X | PH4239 | HI | Primary |
Addresses
Primary practice location
67-1125 Mamalahoa Hwy
Kamuela, HI 96743-8496
Mailing address
10860 SE Oak St
Milwaukie, OR 97222-6694
Phone (503) 652-8058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH4239 | HI | MD | Pharmacist |
| RPH-0015663 | OR | MD | Pharmacist |
| PH60673057 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1861943417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10860 SE OAK ST",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972226694",
"telephone_number": "503-652-8058",
"fax_number": "503-786-0316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67-1125 MAMALAHOA HWY",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967438496",
"telephone_number": "808-881-4464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIMABUKURO",
"first_name": "DANA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-19",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0015663",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60673057",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH4239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kamuela, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.